| NPI | 1952753675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ TAP8792) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ TAP8792) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-10-06 |